Pro-Life Member Care Representative

Mpathic; Texas; Hybrid; USD 28,000 - 32,000; Full time

Benefits offered by this job

Discretionary bonuses

Job summary

Mpathic is seeking a Remote Pro-Life Member Care Representative to support a Catholic-values, health-insurance client. The role is fully remote with daytime CST/EST hours and a $20–$23 per hour compensation, plus discretionary bonuses after a 1-month evaluation.

In this team-based environment, you will verify member eligibility, respond to policy questions, and document all interactions. Candidates should have strong communication skills and familiarity with health insurance terminology.

Qualifications

• Strong verbal and written communication skills.
• General understanding of health insurance terminology.
• A habit of empathy, placing the needs of prospective members above other considerations.
• Customer Service experience preferred, though not required.

Responsibilities

• Uphold and integrate the customer’s Catholic and Christian identity to foster the teachings of the Church in all aspects of job performance.
• Strictly adhere to HIPAA guidelines, conducting rigorous identity verification before disclosing any protected health information.
• Verify member eligibility and gather necessary information to assist with member inquiry.
• Efficiently authenticate and respond to provider request regarding patient policy status, effective dates of coverage, benefits, claim status, and other inquiries
• Inform members and providers on services requiring prior authorization and track the status of pending requests.
• Maintaining detailed, audit-ready logs of every call, chat, and email interaction, including clear notes on the specific resolution or next steps promised.
• Assist with producer support by performing regular DOI portal audits and checking Sircon credentials to verify active licensing status.
• Perform other duties as assigned

Skills

Communication skills

Empathy

Health insurance terminology

Customer service experience

Education

High School Diploma or equivalent

Tools

Office365

CRM systems

Contact Center platforms

Job description

All Jobs > Remote Pro-Life Member Care Representative

Remote Pro-Life Member Care Representative
Fully Remote TX

Full-time

Description

This is a contingent opportunity, the anticipated start date has not been determined.

Who we Are

Mpathic is a consultative Contact Center and Sales Enablement partner that helps mission-driven organizations grow through meaningful, human-first conversations. We specialize in building, training, and deploying high-performing teams on behalf of our clients, acting as a seamless extension.

Why Mpathic?

• Structured training and real coaching - not “figure it out on your own”
• Clear path to advancement for high performers
• A team culture that values effort, integrity, and growth
• Meaningful work supporting organizations that impact real people.

Mpathic is hiring Member Care Representatives working in a team environment to drive acquisition of new members for our customer, an emerging Catholic Values, Pro-Life, Health insurance Company.Representatives navigate data in our customer’s CRM and execute inbound and outbound calls using our customer’s Contact Center platform.

Responsibilities

• Uphold and integrate the customer’s Catholic and Christian identity to foster the teachings of the Church in all aspects of job performance.
• Strictly adhere to HIPAA guidelines, conducting rigorous identity verification before disclosing any protected health information.
• Verify member eligibility and gather necessary information to assist with member inquiry.
• Efficiently authenticate and respond to provider request regarding patient policy status, effective dates of coverage, benefits, claim status, and other inquiries
• Inform members and providers on services requiring prior authorization and track the status of pending requests.
• Maintaining detailed, audit-ready logs of every call, chat, and email interaction, including clear notes on the specific resolution or next steps promised.
• Assist with producer support by performing regular DOI portal audits and checking Sircon credentials to verify active licensing status.
• Perform other duties as assigned

Schedule: Monday-Friday Daytime Hours by CST & EST Time Zones.

Compensation: $20 to $23 per hour. After a one-month evaluation period, position will be eligible for higher pay. All Employees are eligible for discretionary performance bonuses.

Requirements

• Strong verbal and written communication skills.
• General understanding of health insurance terminology
• A habit of empathy, placing the needs of prospective members above other considerations.
• Knowledge of or experience with Individual Health insurance in the state of TX a plus.
• Working knowledge of Catholic Church teachings on the sanctity of life.
• Customer Service experience preferred, though not required.
• High School Diploma or equivalent required, college degree preferred.
• Strong interpersonal skills, ability to work on a close-knit team and autonomously.
• Professional, courteous, and generous work attitude with a desire and ability to learn.
• Ability to identify solutions based on established processes and procedures.
• Meticulous habits in logging sales interactions via established business processes and tools.
• Effectively drive and manage progress through sales development stages to secure increased membership for our customer.
• Experience working with Office365 applications.
• Experience working with CRMs and Contact Center platforms preferred.
• Reliable non-Chromebook computer (Windows 11 or macOS 12+ or newer, produced within the last five years) and second monitor.
• 8 GB RAM minimum (16 GB preferred); SSD recommended
• High-speed internet (100 Mbps download, 20 Mbps upload, and 0% packet loss)
• Must clear all required background checks. Must be able to provide proof of eligibility to legally work in the United States.
• Ability to support video conferencing (webcam, USB wired headset with mic)
• Comfortable installing required software, updates, and security tools (VPN, MFA, endpoint protection)
• Secure, private workspace suitable for professional calls during business hours